通道下经椎间孔腰椎椎体间融合术治疗单节段腰椎间盘突出症
Treatment of Single Segment Lumbar Intervertebral Disc Herniation with Transforaminal Lumbar Intervertebral Fusion under the Passage
李建军1
作者信息
- 1. 漯河市第二人民医院骨科,河南 漯河 462000
- 折叠
摘要
目的 分析通道下经椎间孔腰椎椎体间融合术和经皮内窥镜下腰椎间盘切除术对于单节段腰椎间盘突出症患者的临床治疗效果;方法 采将2019年2月至2022年2月在我院接受治疗50例单节段腰椎间盘突出症患者作为研究对象,随机分为研究组和对照组,对照组行椎板间开窗髓核摘除术,研究组行通道下经椎间孔腰椎椎体间融合术;结果 研究组患者在手术时间、术中出血量、术后引流量及住院时间上都显著优于对照组(P<0.05),在术前2组患者的VAS评分无显著差异(P＞0.05),术后1个月和术后3个月研究组VSA评分均显著低于对照组(P<0.05),术前2组ODI评分没有显著差异(P＞0.05),术后1个月及术后3个月研究组ODI评分显著低于对照组(P<0.05).研究组术后并发症发生率显著低于对照组(P<0.05);结论 将MIS-TLIF应用于单节段腰椎间盘突出症患者的治疗中,能够有效改善各项手术指标,提高手术效率.同时降低手术疼痛情况,促进患者腰椎功能的恢复,减少并发症发生率几率,应用良好.
Abstract
Objective:To analyze the clinical treatment effects of transforaminal lumbar interbody fusion and percutaneous endo-scopic lumbar discectomy under the channel for single segment lumbar disc herniation patients;Method:Fifty patients with single-segment lumbar disc herniation who underwent treatment in our hospital from February 2019 to February 2022 were selected as the study subjects and randomly divided into a study group and a control group.The control group underwent laminectomy for nucleus pulp-osus,while the study group underwent transforaminal lumbar interbody fusion under the channel;Result:The patients in the study group were significantly better than the control group in terms of surgical time,intraoperative bleeding volume,postoperative drainage volume,and hospital stay(P<0.05).There was no significant difference in VAS scores between the two groups before surgery(P>0.05),and the VSA scores of the study group were significantly lower than the control group at 1 month and 3 months after surgery(P<0.05).There was no significant difference in ODI scores between the two groups before surgery(P>0.05),The ODI score of the study group was significantly lower than that of the control group at 1 month and 3 months after surgery(P<0.05).The incidence of postopera-tive complications in the study group was significantly lower than that in the control group(P<0.05);Conclusion:The application of MIS-TLIF in the treatment of single segment lumbar disc herniation patients can effectively improve various surgical indicators and im-prove surgical efficiency.At the same time,it reduces surgical pain,promotes the recovery of lumbar function in patients,reduces the incidence of complications,and is well applied.
关键词
通道下经椎间孔腰椎椎体间融合术/经皮内窥镜下腰椎间盘切除术/单节段腰椎间盘突出症/VAS/ODIKey words
Transforaminal lumbar interbody fusion under the channel/Percutaneous endoscopic lumbar discectomy/Single seg-ment lumbar disc herniation/VAS/ODI引用本文复制引用
出版年
2024
NETL
NSTL
万方数据